Late Spring 2017 U6 Registration Form

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U6

BCYSA

U6

Boone County Youth Soccer Association

*'t*Late Spring 2Ot7 Registration Form for U6*** Late Registrations are due by January 15,20L7 Registration lnstructions Note: Please use this form for Under 6 registration only. Players born after July 3t, 2OL0 should use this form. Those players that are older than U6 can obtain a registration from our website: www.bo.onecountvsoccer.com. Late registrations are due by Jan. 15,2017. The cost for late registration is $75. For a ny UG registration questions please ernail: [email protected]. For any other questions please contact Adele Nichols at: 859-525-1070. Please fill out this form completely and return it to the address listed on the bottom of this form. Make sure to include a check made out to the BCYSA for SZ5 for each player. The BCYSA will charge a S25 for any returned check. First time players must inctude a copy of their birth certificate to verify age" Player Placement Since this is Late Registration all registrations at this point are accepted on a first come first serve basis and there is no guarantee of placement on a particular team or any team at all. No requests. tf the child cannot be placed on any team, the check will be returned.

There will be no other reasons for refunds after Feb 1.. We ask that all players be at least 3 years old by July 3L,2016. Registrations will not be accepted over the phone or through the internet. Please note that in recreational soccer, coaches cannot request who is placed on their teams. The Player Guideline is listed online at: www.boonecountvsoccer.com. r**Pleaqe mail the completed Late Registration form to 120 Pattv Ln., Florence, Kv., 41042 and include S75 for each plaver do not eive them to the schools gr coaches***

Player lnformation Plaver

Name:

Date of

Home

Address:

Citv:

Home

Phone:

Alternate Phone:

Birth: /

Gender: M

/

State:

F

7:io;

Mother/Father

Grrardian Namp: Did the child olav in the BCYSA durins the Fall

Fmail Addrpss:

2O16?

lf child did olav who was the coach? What size of shirt would the child

like?

Yes

No

lf available at this time olav for same

Small

Medium

Saturdav the requested dav is not available the child will automaticallv be placed on the other dav.

Additional

Comments;

No

Large

What dav would the child like to nlav on if available? PlepFe note: ff

coach? Yes

TodaVs

Sundav

date: I

I

Parent/Guardian Sicnature: {l agree that the ECYSA and its represenlatives luill not be held responsible for any accidents or iniuries received while participatins)

Mail this comgleted Late Registration form wit*r a checkfor $ZS per ptayer payabte to BCYSA Mail to: Adele Nichols (Attn: BCYSA Registrar) 120 Patty Ln., Florence , Ky.,41042 All late Registrations are due by January t5,2Ol7 Family Discount: A family of 3 registered players, $5 off per player. A family with 4 registered players, the 4th player is free,

Those interested in volunte.ering to head coach in the BCYSA must fill out a Coaching lnterest Form Coaching forms can be obtained online from our website: www.bgonecountvsoccer.com